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Association of insulin resistance with the accumulation of saturated intramyocellular lipid: A comparison with other fat stores

Published version
Peer-reviewed

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Authors

Watson, Laura P. E. 
De Lucia Rolfe, Emanuella  ORCID logo  https://orcid.org/0000-0003-3542-2767
Ferraro, Michele 
Carr, Katherine 

Abstract

It has been shown using proton magnetic resonance spectroscopy (1H MRS) that, in a group of females, whole‐body insulin resistance was more closely related to accumulation of saturated intramyocellular lipid (IMCL) than to IMCL concentration alone. This has not been investigated in males. We investigated whether age‐ and body mass index‐matched healthy males differ from the previously reported females in IMCL composition (measured as CH2:CH3) and IMCL concentration (measured as CH3), and in their associations with insulin resistance. We ask whether saturated IMCL accumulation is more strongly associated with insulin resistance than other ectopic and adipose tissue lipid pools and remains a significant predictor when these other pools are taken into account. In this group of males, who had similar overall insulin sensitivity to the females, IMCL was similar between sexes. The males demonstrated similar and even stronger associations of IMCL with insulin resistance, supporting the idea that a marker reflecting the accumulation of saturated IMCL is more strongly associated with whole‐body insulin resistance than IMCL concentration alone. However, this marker ceased to be a significant predictor of whole‐body insulin resistance after consideration of other lipid pools, which implies that this measure carries no more information in practice than the other predictors we found, such as intrahepatic lipid and visceral adipose tissue. As the marker of saturated IMCL accumulation appears to be related to these two predictors and has a much smaller dynamic range, this finding does not rule out a role for it in the pathogenesis of insulin resistance.

Description

Publication status: Published


Funder: NIHR Cambridge Clinical Research Facility

Keywords

adipose tissue, saturation, intramyocellular lipid, insulin resistance, ectopic

Journal Title

NMR in Biomedicine

Conference Name

Journal ISSN

0952-3480
1099-1492

Volume Title

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Sponsorship
Medical Research Council (MR/V011758/1, MC_UU_00015/7)
NIHR Cambridge Biomedical Research Centre (BRC 1215 20014)
Wellcome Trust (WT 219417, 210755/Z/18/Z)